Gordon, Autumn Nicole

Gordon, Autumn Nicole is an individual health care provider with primary practice located at 2600 W White River Blvd , Muncie IN 47303-5263. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Gordon, Autumn Nicole can be contacted via phone (765) 254-5602.

Contact Information

Primary practice address
2600 W White River Blvd Muncie IN 47303-5263
Phone: (765) 254-5602
Fax: (765) 254-5603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26022532A Indiana

Profile Details

NPI number 1336396803
LBN Legal business name Gordon, Autumn Nicole
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Jan 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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